HomeMy WebLinkAbout1998-010658 - water heater 411 PERMIT
01C!WY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: 0i065 106, 8
5 PLUMBING
Crystal Bay, Minnesota 55323
(612) 473-7357
Date Issued: 08/25/98
SITE ADDRESS:
120 ORONO ORCHARD RD S
CH
I tJ0;`-1 -2J-
'7. 21-003 3
DESCRIPTION:
1 FIXTURE
Plumbing Permit. Type FIXTURES
Plumbing Work Type REPLACE EXISTING
1 WATER HEATER
REMARKS:
FEE SUMMARY:
VALi SAT I ON $550 i
Base Fee $35 .00 MAIL IN 11,5 i
Surcharge 1-5Q Total Fee $:37 .0
Subtotal $35 . 50
. .50
CONTRACTOR: - Applicant - OWNER:
LE VAHN BROS INC -7,5518990 MERCHANT LOUIS -
1'370 a0 BAS ; LAt E RD 120 ORONO ORCHARD RD w
MAPLE GROVE MN 6.5359 ORONO NO MN 55391
(61 2) 551-8990
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MIKE THE' REAL IMPROVEMENTS
SPECIFIED AND AGREES TO DO' ALL' WORK , IN STRICT COMPLIANCE WITH ALL CITY F
ORONO ORDINANCES AND STATE; OF MINNESOTABUILDINGCODE REQUIREMENTS.
<_.-1,)2.,„€:,"/ ^ -tom ., 1 ao,-,...,,,,..,
APPLICANT/PERMITEE SIGNATURE C., ISSUED BY:SIGNATURE ',.I •
J1,°, CITY OF ORONO
Box 66 (1335 So Brown Rd) APPLICATION FOR PLUMBING PERMIT ,2Q4
Crystal Bay, MN 55323
***************************************************************************
General Instructions
1. You may apply for plumbing permits by mail or in person at the City offices.
2. Mailed in applications are subject to the postage and handling fees shown below.
Permit cards will be sent by return mail the same day the application is received.
3. Permits are not valid until you receive a permit card.
4. Work must not begin unless the permit card,,is available on the job site.
5. Plumbing permits may be issued to licensed contractors only.
6. When any new construction or remodeling is involved, a separate building permit must
be obtained.
7. All work must be done in accordance with State Code requirements.
8. All work must be inspected before it is covered. Call 473-7357. 24 hour notice
required.
*********************************************************jj *** ** ** ******
JOB SITE ADDRESS: !'2-C Or CitC �`2/� V C �/
Occupancy Type:L.00 .47,
ii Residential Commercial
t,
OWNER'S NAME: .Ctf . . r` 1'1 K3nst Phone No. : `f'7�✓- - '- `j'
Mailing Address: City: r7
CONTRACTOR°S NAME: t1iF l71�/ -0 S.. Bus. No. : 55( - 75 t 2 0
Mailing Address: t2Z OG z(c.E (`od City: 0, {Q 'Oc C tit(Ai
Master Plumber's State License No. : 75(gS P'fr1 1 City Cer No. :
***************************************************************************
PLUMBING FIXTURE SCHEDULE
(Show number of fixtures of each type on each floor)
FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER
Water Closet Laundry Tray
Lavatory Washer
Bathtub Water Heater '� +. .4, .
Shower Water Softner
Kitchen Sink Misc. (list)
Disposal
Dishwas*er
Wet Bar
Sillcocks
Floor Drains
Sump Pump
Sewer Ejector
******************************** ******************************************
1. Fixture Fee The minimum permit fee is $30.00 $
Compute number of fixtures - 4 " t`-'-this- e
2. State Surcharge $ .50
3. Postage & Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (add lines 1-3 above) $
***************************************************************************
The undersigned hereby applies to the City ..- • ono for issuance of a Plumbing Permit,
agrees to do all work in strict a o da• e ith the ordinances of the City and the
regulations of the State of Min. -so, : and • rti'f s that all statements made on this
application are complete, tru- o
Signature of Applic - -----_- Date:
f_/...;k12._k_._1